患有严重精神疾病的个体中的肥胖问题。
Obesity among individuals with serious mental illness.
作者信息
Dickerson F B, Brown C H, Kreyenbuhl J A, Fang L, Goldberg R W, Wohlheiter K, Dixon L B
机构信息
Sheppard Pratt Health System, Baltimore, MD 21204, USA.
出版信息
Acta Psychiatr Scand. 2006 Apr;113(4):306-13. doi: 10.1111/j.1600-0447.2005.00637.x.
OBJECTIVE
To study the distribution and correlates of body mass index (BMI) among individuals with serious mental illness.
METHOD
A total of 169 participants were recruited from randomly selected out-patients receiving community-based psychiatric care and were interviewed with items from the National Health and Nutrition Examination Survey (NHANES) III. Their BMI was compared with that of 2404 matched individuals from the NHANES data set.
RESULTS
The distribution of BMI in the psychiatric sample significantly differed from that of the comparison group; 50% of women and 41% of men were obese compared with 27% and 20% in the comparison group. Within the psychiatric sample, higher BMI was associated with current hypertension and diabetes, a wish to weigh less, and reduced health-related functioning.
CONCLUSION
Obesity is more prevalent among individuals with serious mental illness than in demographically matched individuals from the US general population. Among persons with mental illness, obesity is associated with co-occurring health problems.
目的
研究患有严重精神疾病的个体的体重指数（BMI）分布及其相关因素。
方法
从随机选取的接受社区精神科护理的门诊患者中招募了169名参与者，并使用来自美国国家健康和营养检查调查（NHANES）III的项目对他们进行访谈。将他们的BMI与来自NHANES数据集的2404名匹配个体的BMI进行比较。
结果
精神科样本中的BMI分布与对照组有显著差异；50%的女性和41%的男性肥胖，而对照组中这一比例分别为27%和20%。在精神科样本中，较高的BMI与当前的高血压和糖尿病、希望体重减轻以及健康相关功能下降有关。
结论
患有严重精神疾病的个体比美国普通人群中人口统计学匹配的个体肥胖更为普遍。在患有精神疾病的人群中，肥胖与同时出现的健康问题有关。
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